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갑상선절제술 후 혈종의 임상 양상
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김형일 | - |
dc.contributor.author | 남기현 | - |
dc.contributor.author | 박정수 | - |
dc.contributor.author | 윤정호 | - |
dc.contributor.author | 장항석 | - |
dc.contributor.author | 정소영 | - |
dc.date.accessioned | 2015-07-14T17:28:14Z | - |
dc.date.available | 2015-07-14T17:28:14Z | - |
dc.date.issued | 2004 | - |
dc.identifier.issn | 1226-0053 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/112947 | - |
dc.description.abstract | PURPOSE: A post-thyroidectomy hematoma is a rare complication, affecting 0.1~2.5% of patients undergoing a thyroidectomy, but this complication deserves special attention because it is potentially life threatening and unpredictable. This study was performed to evaluate the prevalence and clinical features of post-thyroidectomy hematomas as well as their implications on the early discharge after a thyroidectomy. METHODS: In a retrospective review of 5,465 patients that underwent a thyroidectomy between Jan 1994 and Dec 2003, 21 (0.38%) with post-thyroidectomy hematomas were identified. The clinical features and outcomes of these 21 patients were evaluated. RESULTS: The 21 patients were composed of 3 men and 18 women, with a mean age of 47.9+/-19.4 years, ranging from 23~80. The mean time to recognition of the hematoma was 7.0+/-15.3 hours, ranging from 0~72. Sixteen hematomas (76.2%) presented within 6 hours postoperatively, 4 (19.0%) between 6 and 24 hours, and 1 (4.8%) after more than 24 hours. Except for two patients with minimal hematomas, the other 19 underwent re-exploration under general anesthesia after evacuation of the hematoma at bedside. The bleeding source was the lacerated strap muscles in 16 patients (76.2%), venous in 3, arterial in 1 and thyroid lobe stump in 1. Mean hospital stay was 5.2+/-2.0 days, ranging from 2~9. There were no mortality or complications after reoperation, and patients required a blood transfusion or tracheostomy. There were no significant differences in the clinical features between Graves’ disease and non-Graves’ disease, as well as between benign and malignant groups. CONCLUSION: Early detection and prompt surgical intervention are critical to a successful outcome in patients with post- thyroidectomy hematomas. Because most of the patients in our series with post-thyroidectomy hematomas presented within 24 hours postoperatively, early discharge, with careful monitoring for the first 24 hours after a thyroidectomy, can be recommended. However the relatively long interval between the initial operation and the development of the hematoma should be considered when recommending early discharge after a thyroidectomy. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 286~289 | - |
dc.publisher | 대한외과학회 | - |
dc.relation.isPartOf | JOURNAL OF THE KOREAN SURGICAL SOCIETY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 갑상선절제술 후 혈종의 임상 양상 | - |
dc.title.alternative | Clinical Features of Post-thyroidectomy Hematoma | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | 정소영 | - |
dc.contributor.googleauthor | 김형일 | - |
dc.contributor.googleauthor | 박정수 | - |
dc.contributor.googleauthor | 장항석 | - |
dc.contributor.googleauthor | 남기현 | - |
dc.contributor.googleauthor | 윤종호 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01646 | - |
dc.contributor.localId | A01154 | - |
dc.contributor.localId | A01245 | - |
dc.contributor.localId | A03488 | - |
dc.contributor.localId | A03632 | - |
dc.relation.journalcode | J01893 | - |
dc.subject.keyword | Thyroidectomy | - |
dc.subject.keyword | Complication | - |
dc.subject.keyword | Hematoma | - |
dc.contributor.alternativeName | Kim, Hyoung Il | - |
dc.contributor.alternativeName | Nam, Kee Hyun | - |
dc.contributor.alternativeName | Park, Cheong Soo | - |
dc.contributor.alternativeName | Yoon, Jong Ho | - |
dc.contributor.alternativeName | Chang, Hang Seok | - |
dc.contributor.alternativeName | Jung, So Young | - |
dc.contributor.affiliatedAuthor | Park, Cheong Soo | - |
dc.contributor.affiliatedAuthor | Kim, Hyoung Il | - |
dc.contributor.affiliatedAuthor | Nam, Kee Hyun | - |
dc.contributor.affiliatedAuthor | Chang, Hang Seok | - |
dc.contributor.affiliatedAuthor | Jung, So Young | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 67 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 286 | - |
dc.citation.endPage | 289 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THE KOREAN SURGICAL SOCIETY , Vol.67(4) : 286-289, 2004 | - |
dc.identifier.rimsid | 36815 | - |
dc.type.rims | ART | - |
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